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Molly Balmer

Behavior Technician in Mt Juliet, TN. Individual provider (NPI-1).

NPI number1811596604
StatusActive
Last updated in NPPESOct 22, 2020

Details

NPI
1811596604
Entity type
Individual (NPI-1)
Name
Molly Balmer
Sex
Female
Sole proprietor
No
Enumeration date
Oct 22, 2020
Certification date
Oct 22, 2020
Last updated
Oct 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2138 Fawns Creek Xing
Mt Juliet, TN 37122-1207

Phone 312-965-2997

Mailing address

306 N Kensington Ave
La Grange Park, IL 60526-1870

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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